| NPI | 1467586461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00011172) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: WA 404607D) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2017-03-10 |